Individual
JULIANNA BROOKE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
512 MAIN ST, COLFAX, LA 71417-1523
(318) 627-3274
Mailing address
512 MAIN ST, COLFAX, LA 71417
(318) 627-3274
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
303309
LA
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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